﻿<div class="contenttitle">
  <h2 class="form"><span>Company Information</span></h2>
</div>
<!--contenttitle--> 

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<p>This page allows you to keep the EssenceAnalytics system up to date with regard to your contact details. Keeping this section up to date will help you to get the most out of the EssenceAnalytics System.</p>
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<form id="form1" class="stdform stdform2" method="post" action="">
  <p>
    <label>Company Name</label>
    <span class="field">
    <input type="text" name="firstname" id="firstname" class="longinput" />
    </span> </p>
  <p>
    <label>Company Logo</label>
    <span class="field">
    <input type="file" name="lastname" id="lastname" class="longinput" />
    </span> </p>
  <p>
    <label>Email</label>
    <span class="field">
    <input type="text" name="email" id="email" class="longinput" />
    </span> </p>
  <p>
    <label>Street Address1</label>
    <span class="field">
    <input type="text" name="address1" id="address1" class="longinput" />
  </span> </p>
  <p>
    <label>Street Address2</label>
    <span class="field">
    <input type="text" name="address2" id="address2" class="longinput" />
    </span> </p>
    
    <p>
    <label>Country </label>
    <span class="field">
    <select name="selection" id="selection">
      <option value="">Choose One</option>
      <option value="1">Selection One</option>
      <option value="2">Selection Two</option>
      <option value="3">Selection Three</option>
      <option value="4">Selection Four</option>
    </select>
    </span> </p>
    <p>
    <label>State </label>
    <span class="field">
    <select name="selection" id="selection">
      <option value="">Choose One</option>
      <option value="1">Selection One</option>
      <option value="2">Selection Two</option>
      <option value="3">Selection Three</option>
      <option value="4">Selection Four</option>
    </select>
    </span> </p>
    <p>
    <label>Postal Code</label>
    <span class="field">
    <input type="text" name="address2" id="address2" class="longinput" />
    </span> </p>
    <p>
        <label>Phone</label>
        <span class="field">
            <input type="text" name="address2" id="address2" class="longinput" />
        </span> </p>

    <p> <span class="field">
            <button class="submit radius2">Submit Button</button></span>
    </p>
</form>
<br clear="all" />
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